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腔内隔绝术治疗胸主动脉夹层动脉瘤
引用本文:景在平,包俊敏,周颖奇,赵志青,徐斌,冯翔.腔内隔绝术治疗胸主动脉夹层动脉瘤[J].第二军医大学学报,1999,20(11):828-830.
作者姓名:景在平  包俊敏  周颖奇  赵志青  徐斌  冯翔
作者单位:第二军医大学长海医院血管外科.上海,200433
基金项目:上海市卫生系统百名跨世纪优秀学科带头人培养计划基金资,军队杰出人才基金,第二军医大学长海医院“258”计划基金
摘    要:目的:探讨腔内隔绝术治疗胸主动脉夹层动脉夹层动脉瘤的手术指征、术前评估方法、技术操作要点、存在问题及临床应用前景。方法:1998年9月至1999年5月对10例慢性StanfordB型胸主动脉夹层动脉瘤患者施行了腔内隔绝术,移植物为Z型记忆合金支架与涤纶人工血管复合体,移植物口径根据螺旋CT动脉造影测量决定,手术在DSA动态监视下完成 。结果:手术后早期死亡1例,死于内漏所致的动脉瘤破裂。其余9例手术操作

关 键 词:动脉瘤.胸主动脉夹层  腔内隔绝术
文章编号:0258-879X(1999)11-0828-03
修稿时间:1999年9月2日

Endovascular graft exclusion for thoracic aortic dissections
Jing Zaiping,Bao Junmin,Zhou Yingqi,Zhao Zhiqing,Xu Bin,Feng Xiang.Endovascular graft exclusion for thoracic aortic dissections[J].Academic Journal of Second Military Medical University,1999,20(11):828-830.
Authors:Jing Zaiping  Bao Junmin  Zhou Yingqi  Zhao Zhiqing  Xu Bin  Feng Xiang
Abstract:Objective: To assess the operation indications, preoperative evaluation, technique essentials and clinical prospective of endovascular graft exclusion (EVGE) in treatment of thoracic aortic dissection (TAD). Methods: Since September 1998, EVGE for TAD have been performed on 10 patients. Graft was constructed from self expanding Z stents covered with a woven Dacron polyester fabric graft. Graft dimensions were determined by spiral computerized tomographic scans. All operations were performed under DSA guidance. Results: There was one early death due to endoleaks. Procedures in the other 9 patients were successful. No complications such as myocardial infarction, lung failure, kidney failure and paralysis that commonly occurr after conventional operations were observed. Immediate thrombosis in false lumen was achieved in 6 patients, and late thrombosis occurred in 3 patients. Mean follow up duration was 3 months, the aneurysmal diameter decreased obviously. Conclusion: These early results support the hypothesis that EVGE may be a safe and effective treatment for selected patients with TAD. Endoleak may lead to continued aneurysmal expansion and rupture.
Keywords:aortic dissection  thoracic  endovascular graft exclusion
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